Re: [Fwd: vinegar for screenings]

From: Patti Tessler (tessler@frontiernet.net)
Tue Mar 23 05:22:47 1999


In a message dated 3/21/99 5:12:26 PM, gloria_lemay@ultranet.ca writes, and DoctorJoe@aol.com answers:

><< Thought I would send along this Yahoo news item on the use of vinegar in
>poor countries in lieu of Pap tests. Recently heard Gabe Merkin, M.D.,
>on the radio describe how he finds genital warts on the penis by swathing
>the penis in gauze soaked in vinegar and then wrapping the whole "package
>in Saran Wrap for five minutes while the man reads a magazine. After the
>5 minute soak the warts that were invisible to the eye show up as white
>dots and can be removed. Is this a common practice, anybody? >>You can do
the acetic acid thing with the penis just like what you do with the >cervix at colposcopy... I thought that was sort of "standard"...

Actually, it is not. The test is nonspecific. When using vinegar on the penis of a man, you're looking for so-called subclinical condyloma. And then the plan is...what? In contrast, during a colposcopy, you're looking at a cervix that has already produced an abnormal Pap smear. If vinegar screening of men is a standard, then why not do vinegar screening of the vulva as well?

To my knowledge, there's no evidence that treating so-called subclinical condyloma makes any difference in outcomes.

--
Patti Tessler, RN, CS, Family Nurse Practitioner (ANCC certified)
Orange County, NY
mailto:tessler@frontiernet.net




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